20171119 Ver 1_CAMA Application_20170905

Coastal Management
ENVIRONMENTAL QUALITY
August 15, 2017
VEND -LAND WAS.! i `$
610MAMER PER�NLIITTING
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
Project Location: Lot 51-N Flyway Drive, Holiday Island, Perquimans County
Proposed Project: construct a bulkhead between two existing bulkheads, an average of 16.1'
waterward of normal water level fill and grade the property and install a
boatlift.
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 09/05/17 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: [phone]).
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264-3901. When appropriate, in-depth comments with supporting data are requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
SIGNED DATE
'"�w'Nothing Compares
State of North Carolina I Environmental Quality I Coastal Management
401 S. Griffin St., Ste 300 1 Elizabeth City, NC 27909
252-264-39011252-331-2951[fax]
2 0 1 T 1 1 1 9
4
MEMORANDUM
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TO:
Karen Higgins, Compliance and Permitting Unit Supervisor
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DWR - Water Quality Program
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FROM:
Doug Huggett, Major Permits Coordinator
Q
c/o Gregg Bodnar, Assistant Major Permits Coordinator
Division of Coastal Management
SUBJECT:
CAMA/DREDGE & FILL Permit Application Review
Applicant:
James Houlihan
Project Location: Lot 51-N Flyway Drive, Holiday Island, Perquimans County
Proposed Project: construct a bulkhead between two existing bulkheads, an average of 16.1'
waterward of normal water level fill and grade the property and install a
boatlift.
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 09/05/17 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: [phone]).
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264-3901. When appropriate, in-depth comments with supporting data are requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
SIGNED DATE
'"�w'Nothing Compares
State of North Carolina I Environmental Quality I Coastal Management
401 S. Griffin St., Ste 300 1 Elizabeth City, NC 27909
252-264-39011252-331-2951[fax]

0 ('1 E`
Project Narrative
Application for Major Development Permit
James Houlihan, property owner of Lot 57, Section N of Holiday Island, located in Perquimans County,
NC, is requesting approval of a Major Development Permit which includes the building of both a
bulkhead and boatlift.
The property under consideration is residential. The purpose of the bulkhead is to prevent possible
future erosion of the existing property and protect against soil disturbance in the canal. A Major Permit
is being requested which will allow the bulkhead to be aesthetically consistent with the existing
bulkheads on either side of the property line, as well as the entire length of the canal. Additionally, it
will allow the proposed boat lift to be constructed much closer to the lot adjoining the property, which
is also owned by the Houlihan family.
If further information is needed, please contact Daniel Houlihan, acting as Agent for James Houlihan
pursuant to Agent Authorization For CAMA Permit Application form, included with this package. My
contact information is:
• Phone: [phone]
• Email: [e-mail]
• Mail: 169 Flyway Drive, Hertford NC, 27944
Thanking you in advance for your consideration,
Daniel Houlihan
Cc: James Houlihan

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: James Houlihan
2. LOCATION OF PROJECT SITE: Lot 51-N Flyway Drive, Holiday Island, Perquimans County, NC
Photo Index: 2006: 157-6918 014 & P 14
Lat.: 36° 05'09.09" W Long.: 76° 22'32.14" W
3. INVESTIGATION TYPE: CAMA/D&F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit: 08/04/ 2017
Was Applicant/Agent Present: Yes - Agent
5. PROCESSING PROCEDURE: Application Received Complete: 08/09/2017
Office: Elizabeth City
6. SITE DESCRIPTION:
(A)
Local Land Use Plan: Perquimans County
LUP Land Classification: Residential
(B)
AEC(s) Involved: PTA, EW, & ES
(C)
Water Dependent: Yes
(D)
Intended Use: Residential
(E)
Wastewater Treatment: Existing: None.
Planned: None at this time
(F)
Type of Structures: Existing: 8'x 12' Storage Building
Planned: Bulkhead and boatlift
(G)
Estimated Annual Rate of Erosion: s1' per year
UAOITAT nCCr'DIDT1r)K10 CNAnF FII I FD GRADING
(D) Total Area Disturbed: 11,432sf .26 Acres
(E) Primary Nursery Area: No
(F) Water Classification: SB Open: No
8. PROJECT SUMMARY: The applicant is proposing to construct a bulkhead between two existing bulkheads
an average of 16.1' waterward of normal water level, fill and grade the property, and install a boatlift. The
property is Lot 51-N on Flyway Drive, Holiday Island, in Perquimans County.
1,095sf
(A) Shallow Water Bottom: EW & PTW
(B) High Ground: ES
2,305sf
7,888sf
(C) Other: Open Water :EW & PTW
144sf
(D) Total Area Disturbed: 11,432sf .26 Acres
(E) Primary Nursery Area: No
(F) Water Classification: SB Open: No
8. PROJECT SUMMARY: The applicant is proposing to construct a bulkhead between two existing bulkheads
an average of 16.1' waterward of normal water level, fill and grade the property, and install a boatlift. The
property is Lot 51-N on Flyway Drive, Holiday Island, in Perquimans County.

James Houlihan
Field Investigation Report
Page 2
Project Setting
The applicant James Houlihan owns lot 50-N and 51-N on Flyway Drive, Holiday Island Subdivision, in
Perquimans County. A residence is located on lot 50-N, and lot 51-N is vacant with the exception of a small 8'
x 12' storage building and a small amount of riprap debris in the water at the comer of adjacent bulkheads on
the east and west sides of the property. Mr. Houlihan's property has 68' of shoreline fronting along a man-
made canal off the Albemarle Sound. The adjacent bulkheads are between 12' and 13' waterward of NWL of
the applicant's shoreline. The closest structure in the water, not owned by the applicant, is a boathouse 95to
the east of the project site. The canal width in front of the applicant's property is —45'.
Currently there is no erosion control structure along the shoreline on Lot 51 with exception of the small amount
riprap debris noted above. Water depths along an alignment between the adjacent bulkheads are between -3'
and 4. No submerged aquatic vegetation was found in or near the project area, and there are no wetlands
associated with the property. There is approximately 6sf of wetland vegetation at the east corner of the
shoreline consisting of Pickerel weed (Pontederia cordata). The Water Classification for the Albemarle Sound
adjacent to Holiday Island is SB and is closed to shellfish harvesting. There are no known archeological sites
on or near the applicant's property.
The property is low lying along the shoreline and gently slopes up to an elevation of —7' above normal water
level (NWL) near the street, with an average elevation of 5' above NWL. Drainage on the property consists of
sheet flow into the adjacent canal. The lot consists of—10,193sf of vegetated high ground. Vegetation on the
property includes, but is not limited to, few ornamental shrubs, domestic grasses, Mimosa (Albizia julibrissin),
Sugar Maple (Acer saccharum), Wax Myrtle (Myrica cerifera), Virginia Creeper (Parthenocissus quinquefolia),
Pokeweed (Phytolacca americana), Poison Ivy, (Toxicodendron radican), Greenbrier (Smilax rotundifolia),
Pennywort (Hydrocotyle spp.), and Green carpetweed, (Mollugo verticillata Q.
Development Proposal
The applicant proposes the following development on and adjacent to his property:
1) Construction of a 68' long bulkhead between two existing bulkheads an average distance of 16.1', and
a maximum distance of 21', waterward of NWL.
2) Fill the low area of high ground along the landward side of the proposed bulkhead.
3) Clear and grade the remaining high ground.
4) Install a 12'x 12' boatlift — 3' from the western property line abutting a second property co -owned by
the applicant. The canal adjacent to the proposed bulkhead may necessitate a slight reduction in the
dimensions of the proposed lift to accommodate the % width limitation.
5) Relocate the existing storage building on the property to the adjacent lot, outside of the 75' Area of
Environmental Concern.
Bulkhead
Shallow Water Bottom Fill: 16.1' x 68'=1,095sf
Open Water Shading: 12'x 12'= 144sf
High Ground Fill: 33.9' x 68' = 2,305sf
High Ground Grading: 116' x 68' = 7,888sf
Total disturbance proposed: 11,432sf
JV

M
James Houlihan
Field Investigation Report
Page 3
Anticipated Impacts
1) Proposed boatlift shading up to 121sf of open water.
2) Proposed development will result in the filling of 1,095sf of shallow water bottom.
3) The proposed development will result in the filling of 2,305sf of high ground.
4) Grading of the property will impact 7,888sf of high ground.
5) Total associated land disturbance will be 11,288sf.
6) Installation of pilings for the proposed piers and bulkhead will result in a temporary increase in turbidity
within surrounding waters.
7) Treated wood leaches over time in surrounding waters and sediment. The amount of leaching is
dependent on the type of organic material present in the water bottom substrate, oxygen levels and
water movement; however, it is estimated that 90% of the leaching will occur within the first 90 days.
Submitted by: Lynn Mathis
Date: August 10, 2017

ON MP -1
APPLICATION for
Projec Name (if applicable)
Mayor Development Permit`
MI
(last revised 12127106)
Agent/ Contractor 2: First Name
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Projec Name (if applicable)
Applicant 1: First Name
MI
Last Nam
Agent/ Contractor 2: First Name
MI
Last Name
Applica t 2: First Name
MI
Last Nam
if additional applicants, please attach an additional page(s) with names listed.
Mailing Address
/6
PO Box City
State
% C
/VC
ZIP Country Phone No.
2! �% qY
FAX No.
6t. -
M
Street Address (if different from above)
City State ZIP
Email
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
::T71
State
ZIP
Phone No. 1Phone
No. 2
ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on back>
252-808-2808 . 1-888-411COAST :: www.nceoustaimanagement.net

Form DCM MP -1 (Page 2 of 4)
i
APPLICATION for
Major Development Permit
.3. Project. Location
a. Total length of shoreline on the tract (ft.)
,
County (can be multiple)
Street Address
State Rd. #
d. Approximate elevation of tract above NHW (normal high water) or
(if many lot sizes, please attach additional page with a list)
NWL (normal water level)
EINHWor*NWL
e. Vegetat'W on tract
0"b7c 7&Z
Su�bclyyision Nam City
42./9/111
I
State Zipeuc
0��Lllw
Phone No.
Lot No.(s) (if many, attach additional page with list)
fV!y 2-1967 PMxt.
S'9
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
j. Is the proposed activity part of an urban waterfront redevelopment proposal? E]Yes Ko
Au,>,o-fAgL.r, 5euAag
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
ONatural Manmade [:]Unknown
.5 A+4 F_
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
F(Yes []No
work falls within.
Pj::L .L 1 .4 jkl-Le
4. Site Description.
a. Total length of shoreline on the tract (ft.)
,
b. Size of entire tract (s
:�;�
6? Cc
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
(if many lot sizes, please attach additional page with a list)
NWL (normal water level)
EINHWor*NWL
e. Vegetat'W on tract
0"b7c 7&Z
C26© '_�Vzy�� �v �a
f. Man-made featur�s and uses now on tract
I—Ar���
g. Identify and describe the existing land uses adiacent to the proposed project site.
OC ZC7-- C
C477_ CAr- CnO
h. How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
(Atta oning compliance certificate, if applicable)
rYes
P []No EINA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? E]Yes Ko
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. E]Yes [:]No KA
If yes, by whom?
0.
1. Is the proposed project located in a National Registered Historic District or does it involve a DYes E]No VA_
National Register listed or eligible property?
<Form continues on next page>
Vit M41
51MLW
Re m'O'Vkk
252-808®2808 1-888-4RCOAST . www.nccoastaimanagement.net

N
Form DCM MP -1 (Page 3 of 4)
APPLICATION for
Major Development Permit
r
m. (i) Are there wetlands on the site? ❑Yes UKo
(ii) Are there coastal wetlands on the site? [-]Yes ANo -]
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ryes []No
(Attach documentation, if available) ,/
n. Describe existing wastewater treatment facilities.
/VbAXS'
o. Descri a existing drinking water supply source.
p. Describe existing water management or treatment systems.
V
/b/�
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑Commercial ❑Public/Government
rivate/Community
b. Give a brief description of purp se, use, and daily operations of the project when co plete.
J�& 4W::?7;- A5-Vxj64�c, 1&T44t//Lrr
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored. 1t15T&L& - V�IC 14efl..4 W PA CK tf --Mi✓ i t3A<-KF LL(
w r3t,�,t.,(�vzE►2.
d. List all development activities you propose. tl Ct*L'5TyW A P uULY-ifIAJ71
�/ lN�srlr A P.;r,% ► U0C-1
e. Are the propo ed activi ' s maintenance of an existing project, new work, or both?
f. What is the approximate total disturbed land area resulting from the proposed project? EJ5q.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes KNo ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
I. Will wastewater or stormwater be discharged into a wetland? []Yes 12No [INA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes Jlo [INA
j. Is there any mitigation proposed? ❑Yes o [INA
If yes, attach a mitigation proposal.
<Form continues on back>
Recti*
252-808-2808 1-888-41'tCOAST — www.nccoo stalmanagem ent.net

Form DCM MPA (Page 4 of 4)
a. A project narrative.
APPLICATION for
Major Development Permit
b. An accurate, dated work plat (including plan view and cross-sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization form, if applicable.
I. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certi y that the information provided in this application is truthful to the best of my knowledge.
Date Print Name -?LM lkit G/lS4S�itl �Ci9N �%
Signat
Please indicate application attachments pertaining to your proposed project.
)9DCM MP -2 Excavation and Fill Information ❑DCM MP -5 Bridges and Culverts R P, r,i
vie d
❑DCM MP -3 Upland Development
VlDCM MP -4 Structures Information
-C
252-808-2808 - fAST . www.nccoastaImanaqement.n4M
i

Form DCM MP -2
EXCAVATION and FILL C- - 'C
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access Other
Channel Canal Boat Basin Boat Ramp Rock Groin Rock (excluding
(NLW or Breakwater shoreline
Length
Width
Avg. Existing
Depth
Final Project
Depth
1. EXCAVATION s sectivt not applicable j
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh d
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV MSB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
a. Location of disposal area.
High -ground excavation in cubic yards.
b. Dimensions of disposal area.
c. (i) Do you claim title to disposal area? d. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA ❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner. (ii) If yes, where?
e. (i) Does the disposal area include any coastal wetlands/marsh f. (i) Does the disposal include any area in the water?
(CW), submerged aquatic vegetation (SAV), shell bottom (SB), ❑Yes ❑No ❑NA
or other wetlands (WL)? If any boxes are checked, provide the (ii) If yes, how much water area is affected?
number of square feet affected.
❑CW ❑SAV OSB
OWL ❑None
(ii) Describe the purpose of disposal in these areas:
252-808-2808 :. 1-888-4 C£ AST .ncc ast it art er ero ,rret revised: 12126106

Reunelved
Form DCM MP -2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STABILIZATION El This section not applicable
(if development is a wood groin, use MP -4 - Structures)
a. Ty�f shoreline stabilization: b. Length,
Bulkhead ❑Riprap ❑Breakwater/Sill [-]Other: Width:
c. Average distance waterward of NHW or NWL: d. Maximum distance waterward of NHW or NWL:
e. Type of stabilization material: f. (i) Has there been shoreline erosion during preceding 12
? months?
--' ❑YesNo ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
g. Number of square feet of fill to be placed below water level. h. Type of fill material.
Bulkhead backfill Riprap ll (6ff 6,PoL)4A SOLL
Breakwater/Sill Other
i. Source of fill material.
d
4. OTHER FILL ACTIVITIES ,This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? LYes LJNo LJNA b. (i) Will fill material be placed in coastal wetlands/marsh (UW),
If yes, submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the
(ii) Amount of material to be placed in the water number of square feet affected.
(iii) Dimensions of fill area ❑CW ❑SAV ❑SB
(iv) Purpose of fill OWL ❑None
(ii) Describe the purpose of the fill in these areas:
5. GENERAL
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe, or hydraulic dredge)?
T tajer6i,62�2 f--)'4e-e
C. (i) Will navi ational aids be required as a result of the project?
❑Yes 4No ENA
(ii) If yes, explain what type and how they will be implemented.
d. (i) Will wetlands b crossed in transporting equipment to project
site? []YesXNo ❑NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Date Applicant Name
Project Name App' nt Signature
252-803-2808 »'1.. 4RCOA :. vvur»�,�qaa� E (rrs aha as9 �., revised. 121"26106

Foran ®CM MP -3
UPLAND DEVELOPMENT (T -W-9 RC
(Construction and/or land disturbing activities)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Type and number of buildings, facilities, units or structures
proposed.
20 X � �tGC F55 � 61�4T�t�Crt�1
It& LAFi
c. Density (give the number of residential units and the units per
acre).
�l lA
e. If the proposed project will disturb more than one acre of land, the
Division of Land Resources must receive an erosion and
sedimentation control plan at least 30 days before land -disturbing
activity begins.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
❑Yes []No XNA
(ii) If yes, list the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
0e 7o
I. Give the percentage of the entire tract to be covered by impervious
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
D%
j. Describe proposed method of sewage disposal.
�l /A
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industrial/
commercial effluent, "wash down" and residential discharges).
5 6 iLFACE . 2u M vt=t=
b. Number of lots or parcels.
Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
76'
List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
lI 0 KL (.-
h. Projects that require a CAMA Major Development Permit may also
require a Stormwater Certification.
(i) Has a site development plan been submitted to the Division of
Water Quality for review?
[]Yes ;�No ❑NA
(ii) If yes, list the date submitted:
k. Have the facilities described in Item (i) received state or local
approval?
❑Yes [OdNo ❑NA
If yes, attach appropriate documentation.
m. Does the proposed project include an innovative stormwater
design?
❑Yes )!�No [INA
If yes, attach appropriate documentation.
282-808-28062 *. 1-888-4RCOAS w racc�as�a9rea�atiaa�� int,»�.e_,� revised. 12126i96

Form OCM MP -3 (Upland Development, Page 2 of 2)
m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
C0-1A)NI
o. When was the lot(s) platted and recorded?
n. (i) Will water be impounded? []Yes RkNo E3NA
(ii) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
MYes XNo EINA
e c e I ve d
C 0 b 2 1) V
252-808-2808-,.- 1-8884RCOAST revised- 12/26,106

t.
Form DCM MP -4
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
f! DOCKINGFACILITY/MARINA CHARACTERISTICS ❑This section r+ot applicable'
a. (i) Is the docking facility/marina: b. (i) Will the facility be open to the general public?
[]Commercial ❑Public/Government (Private/Community ❑Yes )(No
c. (i) Dock(s) and/or pier(s)
(ii) Number
(iii) Length
(iv) Wdth
(v) Floating []Yes ❑No
e. (i) Are Platforms included? []Yes KNo
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floating []Yes ❑No
Note: Roofed areas are calculated from dripline dimensions.
g. (i) Number of slips proposed
I
(ii) Number of slips existing
I. Check the proposed type of siting:
❑ Land cut and access channel
❑Open water; dredging for basin and/or channel
*pen water; no dredging required
[]Other; please describe:
k. Typical boat length: f
m. (i) Will the facility have tie pilings?
[--]Yes kNo
(ii) If yes number of tie pilings?
d. (i) Are Finger Piers included? []Yes [XNo
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floating ❑Yes ONO
f. (i) Are Boatlifts included? AYes ❑No
If yes:
(ii) Number
(iii) Length
(iv) width t2'
h. Check all the types of services to be provided.
❑ Full service, including travel lift and/or rail, repair or
maintenance service
❑ Dockage, fuel, and marine supplies
J Dockage ("wet slips") only, number of slips:
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
t�V— Rut\jAtz,Ou
I. (i) Will the facility be open to the general public?
❑Yes JXNo
revised: 1227106

IF
r
Perm DC M MP -4 (structures, Page 2 of 4)
tt •fir :��:
a. Check each of the following sanitary facilities that will be included in the proposed proje6w'k,, '';J' I I'LL _,
❑ Office Toilets
❑ Toilets for patrons; Number: ; Location:
❑ Showers
❑ Boatholding tank pumpout; Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater.
c. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from boats be controlled?
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
(ii) Give the location and number of "Pumpout Available" signs proposed.
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where will residue from vessel maintenance be disposed of?
h. Give the number of channel markers and "No Wake" signs proposed.
I. Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality.
j. What will be the marina policy on overnight and live -aboard dockage?
k. Describe design measures that promote boat basin flushing?
I. If this project is an expansion of an existing marina, what types of services are currently provided?
252-808-2808 :» 9-8884RCOAST .- w.ncrevised: 92127106
4

.
Petra. DCM MP- ( trust es, Pages 3 of 'Received
m. Is the marina/docking facility proposed within a primary or secondary nursery area?
❑Yes ❑No
n. Is the marina/docking facility proposed within or adjacent to any shellfish harvesting area? .Y M -
❑Yes ❑No
o. Is the marina/docking facility proposed within or adjacent to coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
❑CW ❑SAV MSB
[:]WL ❑None
p. Is the proposed marina/docking facility located within or within close proximity to any shellfish leases? ❑Yes [3 No
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts) This section not applicable
a. (i) Is the boathouse structure(s):
❑Commercial ❑Public/Government ❑Private/Community
(ii) Number
(iii) Length
(iv) Width
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g.,wood, sheetpile, etc. If a rock groin, use MP -2, Excavation and Fill.) (This section not applicable
a. (i) Number
(ii) Length
(iii) Width
5. BREAKWATER (e.g,, wood, sheetpi/e, etc.) XThis section not applicable
a. Length b. Average distance from NHW, NWL, or wetlands
c. Maximum distance beyond NHW, NWL or wetlands
6. MOORING PILINGS and BUOYS This section not applicable
a. Is the structure(s): b. Number �\
❑Commercial ❑Public/Government ❑Private/Community
C. Distance to be placed beyond shoreline d. Description of buoy (color, inscription, size, anchor, etc.)
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
252-808-2808 - 1-888-4RCOAST :. � W-nccoastalm; �@1�eaxten Rlpl.
revis d. 12127,106

u
7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines
oll� 40 v'
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
—f!�q I
e. (i) Will navigational aids be required as a result of the project?
0Yes XNo EINA
(ii) If yes, explain what type and how they will be implemented.
b. Proximity of structure(s) to adjacent docking facilities.
, '4t)ot
d. Water depth at waterward end of structure at NLW or NWL
8. OTHER 0 This section not applicable
a. Give complete description:
/Zt if AJ -F- 1 U',51 6 & A, —5 A. L LA -rb of
T
2-a i-7
Date
Project Name
D(^W I zz" U
Applicant Name
Applicant Signature
?
DC.17M-EC
252-808-2808..1-888-4RCOAST aienana.gement.. et revised- 12'27"06
.... . . ... . .. . .. ... ..
A

MAJOR PERMIT FEE MATRIX
Applicant: ( w+es l tt I 'A am
Selection
Development Type
Fee
DCM %
DWO %
(143001601435100093 1625 6253)
(24300 1602 435100095 2341)
I. Private, non-commercial
development that does not
$250
100%($250)
0%($0)
involve the filling or
excavation of any wetlands
oro en water areas:
II. Public or commercial
development that does not
$400
100%($400)
0%($0)
involve the filling or
excavation of any wetlands
oro en water areas:
Major Modification to a
$250
100%($250)
0%($0)
CAMA Major permit
III. For development that
involves the filling and/or
excavation of up to 1 acre
of wetlands and/or open
water areas, determine if A,
B, C, or D below applies:
III(A). Private, non-
commercial development, if
$250
100%($250)
0%($0)
General Water Quality
Certification No. 4097 (See
attached) can be applied:
III(B). Public or commercial
development, if General
$400
100%($400)
0%($0)
Water Quality Certification
No. 4097 (See attached)
can be applied:
III(C). If General Water
F]
Quality Certification No.
$400
60%($240)
40%($160)
4097 (see attached) could
be applied, but DCM staff
determined that additional
review and written DWQ
concurrence is needed
because of concerns
related to water quality or
aquatic life:
III(D). If General Water
©
Quality Certification No.
$400
60%($240)
40%($160)
4097 (see attached) cannot
be applied:
IV. For development that
involves the filling and/or
$475
60%($285)
40%($190)
excavation of more than
one acre of wetlands and/or
o en water areas:

lie,—3' d 14'
;;3 Ai i) �J 0
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P,
v